ModificaÃÃes topogrÃficas da junÃÃo uretrovesical da uretra proximal apÃs cirurgia combinada de Marshall-Marchetti-Krantz e Burch no tratamento da incontinÃncia urinÃria de esforÃo: avaliaÃÃo ultra-sonogrÃfica

AUTOR(ES)

Arinaldo Vasconcelos de Alencar

DATA DE PUBLICAÇÃO

2007

RESUMO

Urethrovesical junction hypermobility is responsible for approximately 95% of stress urinary incontinence cases. Transvulvar sonography has been largely used to assess urethrovesical junction and proximal urethra mobility. Colposuspension surgeries most widely performed for the treatment of stress urinary incontienence are Burch and Marshall-Marchetti-Krantz. The former one is considered the gold standard. A combination of these both techniques for the treatment of stress urinary incontinence was referred in a case series to result in a 96% cure rate, though its impact in urethrovesical junction and urethral mobility are unknown. In order to evaluate, by means of transvulvar sonography, the urethrovesical junction and proximal urethra alterations determined by combined surgery of Marshall-Marchetti-Krantz and Burch, 32 stress urinary incontinence women were selected. Study method consisted of performing transvulvar sonography in all patients before and 30 days after surgery. The exam was conducted to assess the pubourethral distance, the proximal urethral length, the horizontal distance of urethrovesical junction, the vertical distance of urethrovesical junction and its displacements at rest and during Valsalva maneuver. The Marshall-Marchetti-Krantz and Burch reduced the proximal urethral length and the horizontal distance of urethrovesical junction at rest and during strain, increased the proximal urethro length at rest and during strain, increased vertical distance of urethrovesical junction in strain but not at rest. Considering these results we concluded that Marshall-Marchett-Krantz and Burch surgery significantly reduced vertical and horizontal mobility of urethrovesical juntion, but did not elevate the urethrovesical junction

ASSUNTO(S)

cirurgia de marshall-marhetti-krantz marshall-marchetti-krantz procedure cirurgia de burch perineal ultrasound ultra-som perineal incontinÃncia urinÃria cirurgia cirurgia de marshall-marchetti-krantz-burch urinary incontinence stress urinary incontinence incontinÃncia urinÃria de esforÃo marshall-marchetti-krantz-burch procedure burch procedure

Documentos Relacionados

• ModificaÃÃes anÃtomo-funcionais da junÃÃo uretrovesical, uretra proximal provocadas pela cirurgia de Burch utilizada para tratamento da incontinÃncia urinÃria de esforÃo
• AvaliaÃÃo ultra-sonogrÃfica das modificaÃÃes da uretra proximal e junÃÃo uretrovesical pÃs cirurgia para correÃÃo de incontinÃncia urinÃria de esforÃo em mulheres, utilizando Sling de Fascia Lata do mÃsculo vasto lateral da coxal
• InfluÃncia da pressÃo abdominal na mobilidade da junÃÃo uretrovesical e da uretra proximal: avaliaÃÃo ultra-sonogrÃfica em mulheres com incontinÃncia urinÃria de esforÃo
• IncontinÃncia urinÃria feminina : alteraÃÃes ultra-sonogrÃficas da junÃÃo uretrovesical, uretra proximal e distÃncia pubouretral causadas pela cirurgia da fita vaginal sem tensÃo utilizada para tratamento da incontinÃncia urinÃria de esforÃo
• ParÃmetros ultrassonogrÃficos da junÃÃo uretrovesical e uretra proximal como fatores prognÃsticos de cirurgia para correÃÃo de incontinÃncia urinÃria de esforÃo: tÃcnica de Burch